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Finance/RCM (114)

5:54

CFOs face challenges in revenue cycle investment

To get ROI, execs need to apply technology at scale, says former HCA CFO Bill Rutherford, who is now on the Board of Mangers at Ensemble Health Partners.

CFOs face challenges in revenue cycle investment
To get ROI, execs need to apply technology at scale, says former HCA CFO Bill Rutherford, who is now on the Board of Mangers at Ensemble Health Partners.
5:54
6:27

Proposed rule would require PBMs to disclose compensation

New U.S. Department of Labor rule would have an immediate positive effect on pharmacies and negatively impact the big Pharmacy Benefit Managers (PBMs), says Dae Y. Lee, attorney at Buchanan Ingersoll & Rooney.

Proposed rule would require PBMs to disclose compensation
New U.S. Department of Labor rule would have an immediate positive effect on pharmacies and negatively impact the big Pharmacy Benefit Managers (PBMs), says Dae Y. Lee, attorney at Buchanan Ingersoll & Rooney.
6:27
7:19

AI revenue cycle solutions need to be more than just the tech

Omega Healthcare works with hospitals on rev cycle tools, making tweaks in such areas as data and population that make each provider unique, says CEO Anurag Mehta.

AI revenue cycle solutions need to be more than just the tech
Omega Healthcare works with hospitals on rev cycle tools, making tweaks in such areas as data and population that make each provider unique, says CEO Anurag Mehta.
7:19
6:13

The cost savings of SDOH

MedeAnalytics, Socially Determined and Mathematica collaborated to give a Southern health plan of 1 million members the data to save $25 million through SDOH interventions, says Saleem Tahir, COO of MedeAnalytics.

The cost savings of SDOH
MedeAnalytics, Socially Determined and Mathematica collaborated to give a Southern health plan of 1 million members the data to save $25 million through SDOH interventions, says Saleem Tahir, COO of MedeAnalytics.
6:13
6:04

Payer negotiation tech stacks: A primer for providers

There are challenges experienced by providers during payer negotiations, and various tech capabilities needed to build the most effective and valuable payer negotiation tech stacks. Dilpreet Sahota, founder and CEO of Trek Health, explains.

Payer negotiation tech stacks: A primer for providers
There are challenges experienced by providers during payer negotiations, and various tech capabilities needed to build the most effective and valuable payer negotiation tech stacks. Dilpreet Sahota, founder and CEO of Trek Health, explains.
6:04
3:55

Clinical and financial teams need clear, accurate documentation

Patient visit documentation must accurately reflect the clinical reality of patient care to serve care coordination and timely reimbursement, according to Dr. Sari Green, physician executive director at Accuity.

Clinical and financial teams need clear, accurate documentation
Patient visit documentation must accurately reflect the clinical reality of patient care to serve care coordination and timely reimbursement, according to Dr. Sari Green, physician executive director at Accuity.
3:55
7:23

New payment and delivery models mean big shift for Medicare

TEMPO and ACCESS are two new models that signal a large change in how the federal government intends to govern cost, quality and accountability in Medicare. Bill Charnetski, government affairs pro at PointClickCare, offers a deep dive.

New payment and delivery models mean big shift for Medicare
TEMPO and ACCESS are two new models that signal a large change in how the federal government intends to govern cost, quality and accountability in Medicare. Bill Charnetski, government affairs pro at PointClickCare, offers a deep dive.
7:23
3:42

Patient strategies on the rev cycle front-end optimizes margins

AI plays a role in patient engagement because it’s critical for clinical efficiency, but it doesn’t replace functions, says Matt Fisher, VP of operations at Curae.

Patient strategies on the rev cycle front-end optimizes margins
AI plays a role in patient engagement because it’s critical for clinical efficiency, but it doesn’t replace functions, says Matt Fisher, VP of operations at Curae.
3:42
6:19

The use of prior authorization has expanded

Provider frustration over prior authorization is real but doesn't tell the whole story of the patient journey, says Brian Smith, chief pharmacy officer at Shields Health Solutions.

The use of prior authorization has expanded
Provider frustration over prior authorization is real but doesn't tell the whole story of the patient journey, says Brian Smith, chief pharmacy officer at Shields Health Solutions.
6:19
6:34

Providers get paid for the care they document, not the care provided

Physicians have access to evidence-based guidance in the room as the conversation unfolds through a new partnership between Abridge and NEJM and JAMA, says Abridge Clinical Strategy Director Matt Troup, PA.

Providers get paid for the care they document, not the care provided
Physicians have access to evidence-based guidance in the room as the conversation unfolds through a new partnership between Abridge and NEJM and JAMA, says Abridge Clinical Strategy Director Matt Troup, PA.
6:34
6:20

Data management underlies value-based contracts

Matching financial incentives to patient outcomes is necessary to getting away from fee-for-service, says Brian Overstreet, CEO of Arbital Health.

Data management underlies value-based contracts
Matching financial incentives to patient outcomes is necessary to getting away from fee-for-service, says Brian Overstreet, CEO of Arbital Health.
6:20
5:39

Price transparency is vital for lowering healthcare costs

Giving patients visibility into procedure costs can reduce surprise billing and drive prices down through competition, according to HIMSS Policy Influencer Changemaker Leigh Burchell, VP for policy and public affairs at Altera Digital Health.

Price transparency is vital for lowering healthcare costs
Giving patients visibility into procedure costs can reduce surprise billing and drive prices down through competition, according to HIMSS Policy Influencer Changemaker Leigh Burchell, VP for policy and public affairs at Altera Digital Health.
5:39
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Play video CFOs face challenges in revenue cycle investment
Finance/RCM
CFOs face challenges in revenue cycle investment
Play video Proposed rule would require PBMs to disclose compensation
Finance/RCM
Proposed rule would require PBMs to disclose compensation
Play video AI revenue cycle solutions need to be more than just the tech
Finance/RCM
AI revenue cycle solutions need to be more than just the tech
Play video The cost savings of SDOH
Finance/RCM
The cost savings of SDOH

View more in Finance/RCM (114 videos)

6:04

Payer negotiation tech stacks: A primer for providers

There are challenges experienced by providers during payer negotiations, and various tech capabilities needed to build the most effective and valuable payer negotiation tech stacks. Dilpreet Sahota, founder and CEO of Trek Health, explains.

Payer negotiation tech stacks: A primer for providers
There are challenges experienced by providers during payer negotiations, and various tech capabilities needed to build the most effective and valuable payer negotiation tech stacks. Dilpreet Sahota, founder and CEO of Trek Health, explains.
6:04
3:55

Clinical and financial teams need clear, accurate documentation

Patient visit documentation must accurately reflect the clinical reality of patient care to serve care coordination and timely reimbursement, according to Dr. Sari Green, physician executive director at Accuity.

Clinical and financial teams need clear, accurate documentation
Patient visit documentation must accurately reflect the clinical reality of patient care to serve care coordination and timely reimbursement, according to Dr. Sari Green, physician executive director at Accuity.
3:55
7:23

New payment and delivery models mean big shift for Medicare

TEMPO and ACCESS are two new models that signal a large change in how the federal government intends to govern cost, quality and accountability in Medicare. Bill Charnetski, government affairs pro at PointClickCare, offers a deep dive.

New payment and delivery models mean big shift for Medicare
TEMPO and ACCESS are two new models that signal a large change in how the federal government intends to govern cost, quality and accountability in Medicare. Bill Charnetski, government affairs pro at PointClickCare, offers a deep dive.
7:23
3:42

Patient strategies on the rev cycle front-end optimizes margins

AI plays a role in patient engagement because it’s critical for clinical efficiency, but it doesn’t replace functions, says Matt Fisher, VP of operations at Curae.

Patient strategies on the rev cycle front-end optimizes margins
AI plays a role in patient engagement because it’s critical for clinical efficiency, but it doesn’t replace functions, says Matt Fisher, VP of operations at Curae.
3:42
6:19

The use of prior authorization has expanded

Provider frustration over prior authorization is real but doesn't tell the whole story of the patient journey, says Brian Smith, chief pharmacy officer at Shields Health Solutions.

The use of prior authorization has expanded
Provider frustration over prior authorization is real but doesn't tell the whole story of the patient journey, says Brian Smith, chief pharmacy officer at Shields Health Solutions.
6:19
6:34

Providers get paid for the care they document, not the care provided

Physicians have access to evidence-based guidance in the room as the conversation unfolds through a new partnership between Abridge and NEJM and JAMA, says Abridge Clinical Strategy Director Matt Troup, PA.

Providers get paid for the care they document, not the care provided
Physicians have access to evidence-based guidance in the room as the conversation unfolds through a new partnership between Abridge and NEJM and JAMA, says Abridge Clinical Strategy Director Matt Troup, PA.
6:34
6:20

Data management underlies value-based contracts

Matching financial incentives to patient outcomes is necessary to getting away from fee-for-service, says Brian Overstreet, CEO of Arbital Health.

Data management underlies value-based contracts
Matching financial incentives to patient outcomes is necessary to getting away from fee-for-service, says Brian Overstreet, CEO of Arbital Health.
6:20
5:39

Price transparency is vital for lowering healthcare costs

Giving patients visibility into procedure costs can reduce surprise billing and drive prices down through competition, according to HIMSS Policy Influencer Changemaker Leigh Burchell, VP for policy and public affairs at Altera Digital Health.

Price transparency is vital for lowering healthcare costs
Giving patients visibility into procedure costs can reduce surprise billing and drive prices down through competition, according to HIMSS Policy Influencer Changemaker Leigh Burchell, VP for policy and public affairs at Altera Digital Health.
5:39